Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Gazdziak, LPC

Individual provider Counselor · NPI 1083814677

Timothy Gazdziak, LPC is a Mental Health Counselor in Gresham, Oregon. Qualified in 2006, 20 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
20
Licensed in
OR
In the registry since
2007
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1700 NW Civic Dr Ste 310
Gresham, OR 97030-3770
Phone: (503) 666-8832
Fax: (503) 669-8641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence C2938 (OR)
Counselor Taxonomy 101Y00000X · Licence C2938 (OR)
Professional Counselor Taxonomy 101YP2500X · Licence C2938 (OR)

Record details

NPI number1083814677
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 20, 2007
Last updated in NPPESMarch 15, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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